3/12/2018 DGPS

Directorate of Government Printing & Stationary

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3/12/2018 DGPS

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े.बी.डी १
G L I & C.D.NO.PST 5356/17569-E दु सरी त
Dated 4-3-5-7 S.T. Regn. No. NID -425] (कायालयीन अिभलेखासाठी)
शासन मु ण, लेखनसामु ी व काशन संचालनालय, महारा शासन, मुंबई
शासकीय काशने िव ी क , मुंबई
२१- अ, चन रोड ेशनजवळ, नेताजी सुभाष माग, मुंबई ४०० ००४
दू र नी . २३६३११४८ /२३६३४०४९ /२३६३०६९५/२३६३२६९३
Acknowledgement Details

Application ID : 1751890012239600117964  Date : 12/03/2018

Tokan No :   Transaction Date :
Application for : Gazette Advertizement (Change Of Name)
Applicant's Full
: SHUMAILA ISA KHAN
Name

Applicant Details

Full Name(English) : SHUMAILA ISA KHAN

Full Name(Devanagari) : शुमैला इसा खान
Date Of Birth : 23/06/1987
Gender : F

Transaction Details

Department Fee : 500.00

Portal Fee : 20.00
SGST(State Goods and Service Tax
: 46.80
9.00%)
CGST(Central Goods and Service Tax
: 46.80
9.00%)
Total Amount (Department Fee+Portal
: 613.60
Fee+GST)

Residence Details

Address : 5/4 -ARVIND NGR KALINA

SANTACRUZ(E)
Village : Andheri Taluka : Andheri
District : Mumbai Suburban      

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